Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $57.54 / $302.00	Facility		$31.62	$57.54	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $46.77 / $691.83	Professional		$18.20	$46.77	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.24	Facility		$0.10	$0.10	$0.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.43 / $3.98	Facility		$0.11	$0.43	$3.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.56 / $3.47	Professional		$0.11	$0.56	$3.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $70.79 / $79.43	Professional		$30.20	$70.79	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $0.21	Facility		$0.10	$0.11	$0.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.43	Facility		$0.17	$0.17	$0.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.17 / $0.17	Professional		$0.13	$0.17	$0.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.65 / $2.00	Facility		$0.11	$0.65	$2.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14